PFS HB Specialist 3

Apply for Job Job ID 83711
Location Sacramento
Full/Part Time Full Time
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Job Summary

#CA-KN

Ensure timely and accurate billing and processing of facility claims, to include edit resolution, patient demographic analysis and correction, authorization/referral review and claim attachments. Review and correction of claim edits, DNB's and Stop Bills from various locations including reports, dashboards and work queues. Follow-up on claims with Commercial and Government payors to ensure maximum reimbursement based on payor contracts and/or regulations.

Apply By Date: 6/11/2026 at 11:59 pm - Interviews and recruiting process may occur at any time

Minimum Qualifications - For full consideration, applicants are encouraged to upload license and/or certification if required of the position

• High School Diploma or GED equivalency.
• Previous billing experience in a health care environment.
• Billing and Collections experience.
• Experience analyzing and interpreting various payor contracts and government payer regulations to ensure compliance with the terms and conditions of the contract and/or regulations.
• High attention to details; Ability to bill clean Hospital claims while maintaining quality and productivity expectations.
• Ability to use computer technology effectively to perform all work functions as well as to navigate through the internet or other software (e.g. DDE) to obtain eligibility and/or make demographic updates as indicated.
• Independent decision-making skills to determine appropriate course of action in billing accounts.
• Ability to read and interpret information sufficient to understand memos, manuals and bulletins regarding complex billing and follow-up procedures.
• Mathematical skills to audit accounts and calculate expected reimbursement/underpayments
• Ability to multi-task, set priorities, work accurately and quickly under pressure in order to meet deadlines set by the department, government programs, or private insurance carriers.
• Ability to react with flexibility and patience and maintain efficiency and accuracy under sustained and immediate pressure created by heavy workload, frequent interruptions and multiple, sometimes competing, requests.
• Knowledge of Government and other third-party payer program requirements, billing codes, coding systems and medical terminology.
• Ability to interpret payments, correspondence and denials from insurance companies, agencies and other departments.
• Ability to compose and use spreadsheets to calculate complex reimbursement.
• Ability to establish a good rapport and professional working relationship with all departmental personnel, management and outside parties.
• Maintains appropriate interdepartmental communications. Demonstrates professionalism, tact, courtesy and diplomacy in dealing with personnel at all levels in and outside of the health system; utilizes effective listening and questioning techniques.
• Knowledge of the Epic billing and clinical modules in order to research and adjust accounts.
• Maintain confidentiality and adhere to the Code of Conduct and Principals of Community standards
• Knowledge of, and demonstrated skill with various spreadsheet and software applications including Microsoft Excel and Word, Clearinghouse, Contract Management and Patient Accounting Systems.
• Experience in health care receivables management is preferred, ideally in an academic teaching hospital environment, working with government and commercial payers and contracts.
• Ability to tactfully, clearly and effectively communicate and convey complex information by phone, in writing or in person and to effectively elicit and receive information from individuals, companies, agencies and other departments.
• Adaptability and flexibility to accommodate changes in policies, procedures and management.
• Adherence of UCD/UCDH methods, policies and procedures.

Preferred Qualifications

• Epic billing experience preferred.
• Experience with using electronic medical records system.
• Academic institution or large integrated health system experience.
• Knowledge of coding systems preferred

Key Responsibilities

• 30% - Billing/Rebilling Complex Accounts
• 25% - Auditing/Adjusting/Reconciliaition
• 20% - Research
• 15% - Denials/Appeal/Payor Requests
• 10% - Special Projects/Misc

Department Overview

Patient Financial Services (PFS) manages revenue cycle functions including DNFB, billing, contract management, insurance follow-up, charge audit, denials, underpayments as well as internal operational and functional reporting and support related to hospital/facility billing. PFS ensures account information contains accurate and comprehensive data to provide timely billing and optimal reimbursement for services rendered. PFS impacts processes to include charge capture, coding, insurance identification, data/charge entry, registration, authorizations, billing, payment posting, refund processing and collections.

POSITION INFORMATION

• Salary or Pay Range: $28.90 - $35.92
• Salary Frequency: Hourly
• Salary Grade: 101
• UC Job Title: PAT BILLER 3
• UC Job Code: 004663
• Number of Positions: 1
• Appointment Type: Staff: Career
• Percentage of Time: 100%
• Shift (Work Schedule): 8 hours, Monday-Friday
• Location: UCDHAS Building (HSP165)
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes
• This position is 100% on-site

Benefits

Outstanding benefits and perks are among the many rewards of working for the University of California. UC Davis offers a full range of benefits, resources and programs to help you bring your best self to work, as well as to help you and your family achieve your health, wellness, financial and career goals. Learn more about the benefits below and eligibility rules by visiting either our handy Benefits Summary for UC Davis Health Employees or Benefits Summary for UC Davis Employees and our Benefits Page.

If you are represented by a union, benefits are negotiated between the University of California (UC) and your union and finalized in a contract. Read your bargaining unit's employment contract, stay abreast of current negotiations and learn about collective bargaining at UC:

• High quality and low-cost medical plans to choose from to fit your family's needs
• UC pays for Dental and Vision insurance premiums for you and your family
• Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
• Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
• Access to free professional development courses and learning opportunities for personal and professional growth
• WorkLife and Wellness programs and resources
• On-site Employee Assistance Program including access to free mental health services
• Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
• Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
• Retirement benefit options for eligible roles including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Physical Demands

• Standing - Occasional Up to 3 Hours
• Walking - Occasional Up to 3 Hours
• Sitting - Frequent 3 to 6 Hours
• Lifting/Carrying 0-25 Lbs - Occasional Up to 3 Hours
• Pushing/Pulling 0-25 Lbs - Occasional Up to 3 Hours
• Bending/Stooping - Occasional Up to 3 Hours
• Squatting/Kneeling - Occasional Up to 3 Hours
• Twisting - Occasional Up to 3 Hours
• Reaching overhead - Occasional Up to 3 Hours
• Keyboard use/repetitive motion - Frequent 3 to 6 Hours

Mental Demands

• Sustained attention and concentration - Frequent 3 to 6 Hours
• Complex problem solving/reasoning - Occasional Up to 3 Hours
• Ability to organize & prioritize - Frequent 3 to 6 Hours
• Communication skills - Frequent 3 to 6 Hours
• Numerical skills - Occasional Up to 3 Hours
• Constant Interaction - Frequent 3 to 6 Hours
• Customer/Patient Contact - Frequent 3 to 6 Hours
• Multiple Concurrent Tasks - Frequent 3 to 6 Hours

Work Environment

UC Davis is a smoke and tobacco free campus effective January 1, 2014. Smoking, the use of smokeless tobacco products, and the use of unregulated nicotine products (e-cigarettes) will be strictly prohibited on any UC Davis owned or leased property, indoors and outdoors, including parking lots and residential space.

Must be able to work occasional overtime and /or flexible hours as needed. This position is subject to a criminal background investigation.

Special Requirements - Please contact your recruiter with questions regarding which activities apply by position

• This is a critical position, as defined by UC Policy and local procedures, and as such, employment is contingent upon clearing a criminal background check(s) and may include drug screening, medical evaluation clearance and functional capacity assessment
• This position is designated as a mandated reporter under CANRA and UC policy, and employment is contingent on compliance with applicable policies, procedures and training requirements

Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.

A Culture of Opportunity and Belonging

At UC Davis, we're committed to solving life's most urgent challenges and building a healthier, more resilient world. We believe in growing through every challenge, continually striving to improve, and welcoming new perspectives that strengthen our community. We recognize that a vibrant and innovative organization values both individual strengths and shared purpose. The best ideas often emerge when people with different experiences come together.

As you consider joining UC Davis, we invite you to explore our Principles of Community, our Clinical Strategic Plan and strategic vision for research and education. We believe you belong here. The University of California, Davis is an Equal Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age or protected veteran status.

To view the University of California's Anti-Discrimination Policy, please visit:

Because we want you to feel seen and valued, our recruitment process at UC Davis supports openness and authenticity. Research shows that some individuals hesitate to apply unless they meet every qualification. You may be an excellent fit for this role-or the next one. We encourage you to apply even if your experience doesn't match every listed requirement. #YouBelongHere

To learn more about our background check program, please visit: